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General NPI Number Information
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NPI Number | 1275480535
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Entity Type | Organization
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Legal Business Name | CLEARLINE PSYCHOTHERAPY
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Dates
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Enumeration Date | 03/14/2026
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Last Update Date | 03/14/2026
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Provider Practice Location Address
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Address Line | 91-1101 FRANKLIN D ROOSEVELT AVE UNIT 169
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City | KAPOLEI
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State | HI
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Zip | 96707-2191
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Country | US
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Telephone | 808-501-2451
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Fax |
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Provider Business Mailing Address
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Address Line | 1710 KELLER PKWY # 1128
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City | KELLER
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State | TX
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Zip | 76248-3749
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Country | US
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Telephone | 808-501-2451
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Fax |
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Authorized Official
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Title or Position | MANAGING MEMBER
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Name | CELESTE DE LA PAZ
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Credential | LCSW
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Telephone | 808-501-2451
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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